MAKING CAESAREAN SECTION SAFE: What Every Health Care Professional Should Know


All these professionals should have a working knowledge of what surgery entails so as to contribute meaningfully to its success and the wellbeing of the mothers and babies the surgery is meant to save. Authority figures like pastors, parents, parents-in-law, imams and other mentors of pregnant women and their spouses also need this working knowledge of this important operation so as to give a clear, unbiased, positive direction to their faithful followers who need an operation.

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About the Book


It is crucial that all health care professionals who care for pregnant women recognise all of them that need a caesarean section.

There are women that absolutely need a caesarean section, and who should be encouraged to have an elective (planned) procedure. Such procedures are usually done in the day time by senior surgeons with all support staff present and everything needed for a successful procedure. They are generally safer than emergency surgeries. In emergencies, the patient can come with a full stomach, which can constitute an anaesthetic hazard. Vomiting and aspiration of the vomitus can lead to death especially when anaesthesia has knocked off the reflexes

In such situations, light anaesthesia in which the reflexes are intact is safer than deep general anaesthesia. When the reflexes are intact, the woman is unlikely to aspirate her vomitus salivary secretions, blood, concoctions, dentures or anything in the mouth

Spinal and/or epidural anaesthesia can also be used if an anaesthetist is available. In emergencies, the woman can come anaemic and/or infected, and blood or potent parenteral antibiotics may not be immediately available. Every comprehensive emergency obstetric care facility should offer blood transfusion services readily and should have potent parenteral antibiotics and oxygen at all times. Senior surgeons should also be available 24 hours of the day. Otherwise, lives can be lost in emergencies.

Surgeons must insist that those that need caesarean section should have it electively and not appear in the hospital as emergency patients.

Labour should be monitored closely to detect those whose labour failed to progress satisfactorily so as to offer them caesarean section on time to avoid a more complicated operation occasioned by delay. Such patients may have relative indications for a caesarean section like cord accidents, persistent malposition of a baby or severe hypertension in pregnancy, undiagnosed fibroid in the lower uterine segment or placenta

It is important that obstetricians or midwives monitoring women with a scar in their wombs who are in labour or women whose wombs are weak should quickly offer them caesarean section if the progress of labour is less than optimal to avoid uterine rupture. Early recourse to caesarean section is preferable to augmentation or induction of labour. Stimulation of the uterus in the face of obstruction can result in a disaster-uterine rupture.

Every pregnant woman that needs caesarean section should be known, and caesarean section should be quickly done expeditiously by trained surgeons who also should have what they need to do a good job.

Tags: Recommended Books, Caesarean Section, Childbirth
Publisher: SMEEI
Publication Year: 2019
eBook Price: 7
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About the Author
Dr Michael Uche-Obasi

By Dr. Michael Uche-Obasi, FWACS is a specialist Obstetrician/Gynaecologist.

He is the president of the Safe Delivery Grace Ministry International and the Safe Motherhood Empowerment and Enlightenment Initiative (SMEEI). He qualified as a medical doctor in June 1985 from the University of Nigeria, Enugu campus.

He is a specialist Obstetrician/Gynaecologist; a Fellow of the West African College of Surgeons. He is a researcher, writer, preacher, clinician, surgeon and student of the word of God. He has written more than 15 books on issues of pregnancy and childbirth.

He enlightens the general public about safe childbirth on television, radio and social media platforms. He organizes programmes for Acquisition of reproductive health life-saving skills by all categories of childbirth attendants.

He also works as a Consultant Obstetrician/Gynaecologist in various outfits of the Safe Motherhood Specialist Maternity Hospital LTD and in Paiyebor Hospital, Port Harcourt, Rivers State Nigeria.

He is married to Crystal and they have five male children; Engr. Lifted Obugorom, Dr Leslie Ikechukwu, Michael, Chimeremeze Great and Blessed Iheoma, and a grand-daughter, Adaeze.

Disclosure of Material Connection: Some of the links in the page above are "affiliate links." This means if you click on the link and purchase the item, I will receive an affiliate commission. I am disclosing this in accordance with the Federal Trade Commission's 16 CFR, Part 255: "Guides Concerning the Use of Endorsements and Testimonials in Advertising."
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